Title: Personel Defense Sprays: Effects and Management of Exposure

Author: Lee RJ, Yolton RL, Yolton DP, Schnider C, Janin ML, U.S. Army, Medical Service Corps, USA

Journal: J Am Optom Assoc 1996 Sep;67(9):548-60

Abstract: BACKGROUND: Most personel defense sprays contain o-chlorobenzylidene malononitrile (CS), w-chloroacetophenone (CN), oleresin capsicum (OC), or a combiantion of these ingredients as the active agent. They are designed to incapacitate by causing acute ocular irritation, lacrimation, conjunctivitis, blepharospasm, and mild to moderate respitory distress. METHODS: To assess the ocular effects of sprays containing OC as the active agent. Snellen visual acuities and anterior segment appearances of 22 police officers were determined before and after spray exposure. To asses the effects of OC spray contamination on soft contact lenses, four brands of lenses were sprayed and cleaned twice with an alchohol-based cleaner. Gas chromatography was used to search for residual OC in the lenses. RESULTS: All officers experienced intense blepharospasm, lacrimation, conjunctivitis, and the incapacitation as the result of spray exposure. Acute effects lasted about 5 to 10 min, with relatively complete recovery occuring in about 30 to 60 min. All had significant conjunctivitis, and some had water-drop-shaped corneal defects that stained with fluorescein. These defects resolved within 24 hours without treatment. OC residue was found to be present in the soft lenses that had been sprayed and cleaned twice. CONCLUSIONS: Optometrists can manage uncomplicated spray exposure patients by directing at-home irrigation with water, and following up with an in-office examination. Soft lenses contaminated by OC spray should be discarded.